Abstract:
Objective To investigate the effect of laparoscopic splenectomy（LS）in the long term treatment of giant splenic artery embolization（SAE）.
Methods Data of 80 patients with LS due to giant spleen from January 2014 to December 2021 were retrospectively analyzed，including 26 patients in the LS group（SAE group）and 54 patients in the LS group（LS group）. SPSS 26.0 software was used to analyze all two groups of data. Intraoperative and postoperative relevant indicators were represented by（
±
s），and independent
t test was used；The incidence of postoperative complications was tested by
χ2.
P<0.05 was considered statistically significant.
Results The operative time of SAE group was significantly longer than that of LS group（P<0.05），and there were no significant differences between the two groups in terms of intraoperative blood loss，postoperative abdominal drainage tube removal time，postoperative recovery feeding time，postoperative hospitalization time，postoperative abdominal bleeding，abdominal infection，pulmonary infection，pleural effusion，fever，pancreatic leakage，portal vein thrombosis，and incision infection（P>0.05）.
Conclusion Despite the prolonged operation time，laparoscopic splenectomy is safe and feasible in the long-term treatment of large splenic artery embolization.
Key words:
Giant Splenomegaly,
Splenic Artery Embolization,
Laparoscopes,
Splenectomy
Yafeng Chen, Jiangbin Li, Dong Wang, Li Zang, Jianguo Lu, Rui Dong. Application of laparoscopic splenectomy in the treatment of massive splenomegaly long-term after splenic artery embolization[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 571-574.